Provider Demographics
NPI:1790977049
Name:NEUROLOGY PHYSICIANS LLC
Entity Type:Organization
Organization Name:NEUROLOGY PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNES
Authorized Official - Middle Name:W
Authorized Official - Last Name:REIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-884-0191
Mailing Address - Street 1:11055 LITTLE PATUXENT PARKWAY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044
Mailing Address - Country:US
Mailing Address - Phone:410-884-0191
Mailing Address - Fax:410-997-2607
Practice Address - Street 1:11055 LITTLE PATUXENT PARKWAY
Practice Address - Street 2:SUITE 209
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-884-0191
Practice Address - Fax:410-997-2607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD269762084N0400X
MDD477392084N0400X
MDD416272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty